Insurer Participation in ACA Marketplaces: Federal Uncertainty Triggers Diverging Business Strategies

A reliable indicator of health insurance markets’ stability is insurer participation, including the number of insurers that elect to sell individual plans and whether they participate over subsequent years. In a recent analysis for the Commonwealth Fund, CHIR experts looked at insurer participation in the state-based Affordable Care Act (ACA) marketplaces from 2014 to 2018, which sheds light on how state marketplaces have maintained competition despite uncertainty about the law’s future. Continue reading

New Report: States Going Above and Beyond to Create Sustainable Exchanges and Deliver Choice and Value to Consumers

In a new report for The Commonwealth Fund, Sarah Dash, Kevin Lucia, Katie Keith, and Christine Monahan provide a comprehensive look at the critical design decisions made by 17 states and the District of Columbia that chose to establish a state-based exchange for 2014. Sarah Dash has highlights from the report and discusses what the findings mean for stakeholders. Continue reading